AI Article Synopsis
- There is currently no agreed-upon method for treating acute Achilles tendon ruptures, but surgical options reduce the risk of re-injury.
- Surgical treatment can lead to complications, such as damage to the sural nerve; however, a new technique aims to minimize this risk.
- The technique involves using ultrasound to locate the tendon and nerve before an arthroscopic procedure that allows for precise suturing and evaluation of the tendon edges, ultimately aiming for effective healing with less scarring.
Article Abstract
To date, there is no consensus concerning the treatment of acute Achilles tendon ruptures. Although surgical treatment decreases the risk of a recurrent rupture, it is not without complications. In particular, percutaneous sutures may cause a lesion of the sural nerve. The purpose of this Technical Note is to describe a reliable and reproducible surgical procedure for treating these lesions. The first operative phase consists of an ultrasound detection that makes it possible to identify the tendon extremities and the sural nerve, which is necessary to secure the posterolateral arthroscopic tract as well as to perform the percutaneous suture. The entry point is thus centered on the lesion and placed at a distance from any surrounding nerve risk. The second arthroscopic phase makes it possible to release the tendon lesion, control the transtendon passage of the surgical threads, and evaluate the dynamic contact of the tendon edges. At the end of the intervention, the complete disappearance from the transillumination via the rupture also makes it possible to ensure the disappearance of the tendon gap. Achilles tendon percutaneous sutures after the ultrasound detection and under arthroscopic control thus makes it possible to control the contact of the tendon edges, while at the same time decreasing the risk of a lesion of the sural nerve, with minimal scarring.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6551569 | PMC |
| http://dx.doi.org/10.1016/j.eats.2019.01.007 | DOI Listing |
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